Stephanie Gordziel

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4289 Issued in CA

Practice address

3710 Robertson Blvd
Ste 225
Culver City, CA 90232-2350

Phone

(310) 837-7849

Fax

(310) 838-8454

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346316429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 ROBERTSON BLVD",
            "address_2": "STE 225",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322350",
            "telephone_number": "323-351-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 ROBERTSON BLVD",
            "address_2": "STE 225",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322350",
            "telephone_number": "310-837-7849",
            "fax_number": "310-838-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDZIEL",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "4289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Gordillo
• Ellen Gordon
• Jane Gordon, MFT
• Justine Amber Gordon, NONE
• Tanesha Gordon
• Niveen Adli Gorgy, D.C.
• Kayla Janice Gosnell, M.A.
• James Gotis
• Grace E. Hazeltine Bartman, PH.D., Psychologist
• Azuria Grace

• Occupational Therapist in Culver City, CA
• Providers in Culver City, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.